Menezes Marcela Machado, Lopes Camila Takáo, Nogueira Lilia de Souza
Universidade de São Paulo, Escola de Enfermagem, Programa de Residência em Enfermagem na Saúde do Adulto e do Idoso. São Paulo-SP, Brasil.
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem Clínica e Cirúrgica. São Paulo-SP, Brasil.
Rev Bras Enferm. 2016 Jul-Aug;69(4):773-84. doi: 10.1590/0034-7167.2016690422i.
To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.
A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.
Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.
Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.
在文献中确定教育干预措施在降低成年糖尿病患者代谢和/或血管并发症方面的有效性和功效证据。
在拉丁美洲和加勒比地区健康科学数据库（LILACS）、巴西虚拟健康图书馆（IBECS）、美国医学文摘数据库（CUMED）、护理学与健康领域数据库（CINAHL）和医学文献数据库（Medline）以及在线图书馆科学电子图书馆在线（SciELO）中进行系统评价，纳入2004年至2014年发表的研究。
纳入11项研究（5项随机临床试验和6项准实验研究）。我们仅确定了分析血管并发症的研究。
两项临床试验证明在降低心血管并发症、白内障或视网膜病变以及肾病方面有效，所有准实验研究均表明在降低足部溃疡、周围神经病变和血管病变以及维持肾功能方面有效。
